排粪造影680例总结分析

目的总结680例便秘患者排粪造影检查的发病病种、发病率及影像学表现，提高诊断正确率，为临床治疗提供正确的依据。方法回顾性分析680例排粪造影的X线表现，并应用卢氏标准进行测量诊断。结果直肠前突582例，会阴下降606例，直肠前壁粘膜脱垂613例，直肠内套叠650例共836个套叠，有的见有2、3、4套，直肠外脱垂30例，盆底痉挛综合症66例，骨直肠肌肥厚症75例，乙状结肠疝292例，骶直分离84例，直肠癌12例，孤立性直肠溃疡综合症1例。结论排粪造影是诊断排便困难原因的重要方法，是其它检查方法不可代替的。在诊断过程中，有许多问题尚不能清楚解释，更待于今后的研究。

Objective In order to improve the correction rate of diagnoses and provide evidence for cline treatment, disease classes, disease rate and appearance of photography of 680 cases suffering from constipation through defecopraphy are summarized. Methods review the X-ray appearance of 680 cases of defecography, and Lu-standard is used to measure diagmoses.Results 11 classes of disease are examined, among which there are 582 cases of rectocele, 606 cases of perineum descending, 613 cases of anterior mucosal prolapes, 650 cases of internal rectal intussusception including 836 intussusceptions, some with 2, 3, 4 intussusceptions, 30 cases of external rectal prolapse, 66 cases of spastic pelvic floor syndrome, 75 cases of puborectalis muscle hypertrophy, 292 cases of sigmoidocele, 84 cases of sacrum rectal separate, 12 cases of rectum cancers, one case of solitary rectal ulcer syndrome. Conclusions defecography is an important method to diagnose the causes of constipation and can not be replaced by any other method. In the process of diagnosis, there are still some problems remaining unsolved and unexplainde, requiring further study and research.